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CITY OF SPRINGFIELD
APPLICATION FOR DEVELOPMENT COORDINATION APPROVAL
The undersigned hereby request that the following real property more particularly
described below be considered for Development Coordination Approval in accordance
with Article 18 of the Springfield Comprehensive Zoning Code.
The applicant must furnish the following information:
I) Legal description(s)
2) Proof of ownership
3) Proof of authority for applicants acting as the owner's agent
Total Land Area: 2?:J>'66 Sf rT Zoning District: Cl~
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Property Location: ~2-.S7 A !1/IV sr-
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Map and Tax Lot #: /z1)1.?~/7-()'L-]7-z...1
Pi x Cu r 72.-0 (
Plans Prepared By:
JI/~ CJl':>Tl?vt~IJ
Telephone # -; ~ (, I] fir"
Owner(s):kX %IUJ.J~~/(~ . .
. Telephone # ~!'(, -ro/J
. Telephone #
. Builder:
Description of Intended Use:
. Telephone #
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FEES:
Development Coor~ination fees are based on the value of the project to be reviewed.
Please check one of the following:
$100,000.00 or less va1uation.,..,.,..,.$ 30.00
$100,000.00 - $250,000.00.".....,......$ 60,00--
$250,000.00 - $500,000.00,...,..,......,$ 90.00--
$500,000,00 or more. . . . . . . . , . , . . . . . , . . . .$150.00 =
I.do hereby declare that all plans submitted fulfill and comply with. all prOV1Slons.
set forth by Section 18.01 through 18.07 of the Springfield. Comprehensive Zoning Code.
APPLICANT:
NAME (please print): ..)/;., ~---;;;;$r~vr-fN
SIGNATURE: j-~~
TITLE: 8l<-o~ f11u....__
ADORESS: ~.2-l/ r'-J/JIN sAv?
TELEPHONE: 72.. <;; - /J Yo'
Received by
Date
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